Skill Check Questionnaire

Thank you for taking the time to fill out this questionnaire. You may asked to fill out an unrelated survey at the end, don't worry. This questionnaire was built using a free service called You do not need to fill out the extra survey at the end. After you've submitted your answers, you will see a small moving status bar at the top and it will say "Sending Form". After it says, "Form Sent," click on the small link at the top which says "Continue" in order to get to the payment page. Thanks again!

First Name:
Last Name:
Email Address:
Mobile Phone Number (So your captain can communicate with you):
Are you completely available to play between 11:00AM and 9:00PM on Saturday night, April 13, 2024? Yes
Do you understand that until your $60 ($62.68 if paying online) is paid, your spot is not reserved for this tournament and that no exceptions can be made to this rule? I must have your money in my hands or your online payment must clear or your spot isn’t saved. I won’t save your spot because a check is in the mail or you promise to pay later. Yes
Do you understand that you must go to to pay your $60 ($62.68 when you pay online to cover the fees I will incur) and to view all tournament info. You may also pay me $60 in cash or send a check for $60 to: Jason Miller, 16700 Westglen Farms Drive, Wildwood MO 63011. Yes
Do you understand that no alcohol or drugs of any kind may be brought into the building? Beer, wine, non-alcoholic drinks and snacks will be available at the bar. Midwest Sport Hockey is giving us a deal on the rink time, so it would be incredible for everyone to stick around and have a few beers and maybe even some food at the MWSH bar when the tournament is over. Yes
Do you understand that no cancelations/refunds will be given after April 4th, 2024 and that only COVID-19 related exceptions can be made? You must show me proof of your positive test. Yes
Do you understand that you must contribute to cleaning up your team's changing room and the players’ benches after the tournament? We need to leave the building as clean as we found it. Yes
You will be provided with a jersey for this tournament. It will be yours to keep after the tournament. YOU MUST WEAR THE SPONSORED JERSEY YOU RECEIVE. OUR SPONSOR (JOE WOLF OF WOLF POWERWASHING) HAS PAID FOR THE EXPOSURE AND THE LEAST WE CAN DO IS WEAR HIS LOGO. That said, just in case the tournament jerseys fall through, please bring a white and a dark jersey to the tournament. Please do not bring gray, yellow, or gold jerseys. Understood? Yes
Do you understand that we do not need any hot heads or bad attitudes in this tournament? By signing up for this tournament, you agree that the referee is right in all circumstances and that you will shut your mouth and go sit in the box when he tells you to. You agree that nobody cares if you think you got screwed over. You also understand that if you are thrown out of a game then you are done for the entire tournament and your team will not be able to replace you. You will also quietly leave the premises. I agree
I do not agree and will not play

Please enter your address below. This will only be used for the purposes of mailing you a refund check should the need arise.

Street Address:
Zip Code:

Please fill in the details of your playing experience below. This will more easily allow the captains to choose six evenly matched and competitive teams.

Who told you about or how did you find out about this tournament?
If applicable, where do you currently play and what team(s) do you play for? What nights do you play? If you do not currently play, tell me about your most recent playing experience.
Preferred Position (Remember that this cannot be guaranteed): Forward
Forward or Defense
Goalie, Forward or Defense
Goalie or Forward
Goalie or Defense
Do you shoot lefty or righty? Goalies, with which hand do you hold your stick? Righty
Your Age (Must be at least 18 years old by April 13, 2024):
Years of Playing Experience:
If asked, would you be willing to serve as a captain? Your duties would include meeting to draft the teams, texting information to your team, setting lines and strategies for your team, etc: Yes
What levels of hockey/inline hockey have you played?:
Please provide any other information about your skill level which may be helpful to team captains during the player draft. Assume they've never seen you play:


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